Registered Public Branch: Samator Skysuites Soho Apartments, Unit 18-06

Accountants Registered Public Jl. Raya Kedung Baruk No.26-28

Kedung Baruk, Kec. Rungkut, Kota Surabaya
Accountants Jawa Timur, Indonesia 60298
Auditors T : +62 31 878 84594
Tax Advisers Auditors F : +62 31 878 84594
Head Office: Plaza Sentral 7th Floor
Tax Advisers Jl. Jend. Sudirman Kav. 47
Business Advisers Jakarta Selatan, Indonesia 12930
Business Advisers E : contact.sby@mgi-gar.com
W: www. mgi-gar.com

INVOICE

Inv. No. : 021/KAP.GAR.SBY-RSUD AAN /II/2024 (REV.1)

Date : Februari 15, 2024

Subject : General Audit Service

To : DIREKTUR UTAMA Transfer to:

RSUD DR H. ANDI ABDURRAHMAN NOOR
Jl. H.M. Amin Rt.03, Desa Sepungur, Kec. Kusan Hilir, KAP GIDEON ADI DAN REKAN
Kab. Tanah Bumbu ACC No : 155-615-5614
Kalimantan Selatan
BNI KCP TANJUNG PERAK
SURABAYA

AMOUNT
NO DESCRIPTION (IDR)

1 Jasa General Audit Tahun Buku 2023 Rp 76.576.577

2 Down Payment (50%) Rp 38.288.288

3 Article 23 (2%) (Rp 765.766)

TOTAL TAGIHAN DP TERMIN 1 Rp 37.522.523

Note: PPN 11% Rp 4.211.712 yang menyetorkan RSUD

Surabaya, Februari 15, 2024

KAP Gideon Adi & Rekan

Valiant Great Ekaputra, CPI (Cand)., CA., CPA

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